NPI 1659599868 · live from the CMS NPI Registry
Jason Iannuccilli, MD
Radiology, Vascular & Interventional Radiology in Warwick, RI. National Provider Identifier 1659599868, active.
NPI record
| NPI | 1659599868 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Vascular & Interventional Radiology 2085R0204X |
| Practice location | 125 Metro Center Blvd Ste 2000, Warwick, RI 02886 |
| Practice phone | 401-432-2520 |
| Enumerated | April 23, 2007 |
| Last updated | March 18, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | MD12595 (RI) |
| Radiology, Diagnostic Radiology | 2085R0202X | A111724 (CA) |
| Radiology, Diagnostic Radiology | 2085R0202X | LP00021 (RI) |
| Radiology, Diagnostic Radiology | 2085R0202X | 12595 (RI) |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | 12595 (RI) |
| Radiology, Vascular & Interventional Radiology primary | 2085R0204X | MD12595 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.